DR. MARK SONG (NPI# 1346227246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346227246 |
| Entity Type | Individual |
| Full Name | DR. MARK SONG |
| Credential | MD |
| Practice Address |
339 Hicks St Division of Vascular Surgery Brooklyn NY 11201-5509 |
| Mailing Address |
339 Hicks St 2nd Fl Othmer Bldg Brooklyn NY 11201-5509 |
| Practice Telephone | 7187801051 |
| Practice Fax Number | 7187801309 |
| Mailing Telephone | 7187801051 |
| Mailing Fax Number | 7187801309 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2011-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
210025 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02094553 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700345659 | Mark Song | Physician Assistant | 2650 Ridge Ave, Burch 221, Evanston, IL 60201 | 2019-03-19 |
| 1629231378 | Mark Hanwook Song | Family Medicine | 15446 S Western Ave, Gardena, CA 90249-4319 | 2008-07-02 |
| 1497865281 | Mark E Song | Emergency Medicine | 101 E Valencia Mesa Dr, Em Dept, Fullerton, CA 92835-3809 | 2006-08-30 |
| 1326068560 | Mark Myungjae Song | Internal Medicine | 3663 W 6th St Ste 307, Los Angeles, CA 90020-3050 | 2006-07-20 |
| Street Address |
339 HICKS ST DIVISION OF VASCULAR SURGERY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901679 | Ciril J Godec | Urology | 339 Hicks St, Fl 7, Brooklyn, NY 11201-5509 | 2005-06-10 |
| 1376985069 | Parul Patel | Pharmacist | 339 Hicks St, Brooklyn, NY 11201-5509 | 2013-07-23 |
| 1124368402 | Sonia A D'amelio Raymond | Pharmacist | 339 Hicks St, Brooklyn, NY 11201-5509 | 2013-02-22 |
| 1396080503 | Marcia Andrea Reid | Nurse Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-11-29 |
| 1184983215 | Jonathan Shih-chen Kung | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-05-09 |
| 1861759169 | Hyoung Kyu Oh | Radiology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-04-12 |
| 1295009926 | Rose Suzette Bristol | Physician Assistant | 339 Hicks St, 3rd Floor Fuller, Brooklyn, NY 11201-5509 | 2012-02-27 |
| 1386917383 | Pearline Mentis Thompson | Nurse Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-02-22 |
| 1720374986 | Ammar Mahmoud | Obstetrics & Gynecology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-06-24 |
| 1205129459 | Simran Kaur Mann | Internal Medicine | 339 Hicks St, Dept of Internal Medicine, Brooklyn, NY 11201-5509 | 2011-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
| 1720565922 | Bushwick Medical of New York LLC | Surgery | 441 Knickerbocker Ave Ste B, Brooklyn, NY 11237-4508 | 2018-07-20 |
| 1043752785 | Starrett City Medical of New York LLC | Surgery | 924 Flatbush Ave, Brooklyn, NY 11226-4018 | 2016-11-11 |
| 1801207071 | Melissa Jennifer Baldwin | Surgery | 3131 Kings Hwy # Ll-07, Brooklyn, NY 11234 | 2014-05-09 |
| 1457629941 | Anukware Ketosugbo, Md, PC | Surgery | 20 Plaza Steet East, Brooklyn, NY 11238 | 2011-12-12 |
| 1568789469 | Hemal J Shah | Surgery | 476 7th St, Brooklyn, NY 11215-3613 | 2010-05-01 |
| 1659541886 | Michael Bezuevsky | Surgery | 3049 Ocean Parkway, Second Floor, Brooklyn, NY 11235 | 2008-03-04 |
| 1427278407 | Alexander Shiferson | Surgery | 903 49th St, Brooklyn, NY 11219-2923 | 2007-05-01 |
| 1710037627 | Jagannath Singh | Surgery | 8769 14th Ave, Brooklyn, NY 11228-3803 | 2007-01-11 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.